I think compulsive eating is a lot of my patient's problem, just like your night-eater. When he comes home, the first thing he does is grab a handful of nuts or slices some fruit and gobbles it. Now, when these 2 occurances happened, he had had a good breakfast and his BG was in the 200s. So I don't think he was really hungry. He does struggle with depression, ADD, and dyslexia and has a lot of other 'issues'. Someone told him (he says) that it's OK to snack on these things. I pointed out that he only needs a between-meal snack if his BG is low or normal
. He looked like he had never heard that before!
Sigh. It's an uphill battle with this one, but I will give it my best shot. Finally got a referral to an endocrinologist and a diabetic nutritionist. The most important referral he has, though, is one for a psychologist. And that's the one he keeps putting off!